Individual provider Active NPI

Aaron Bumann, D.D.S.

  • Pediatric Dentistry
  • Gladstone, MO
National Provider Identifier
1831501444
Registry record updated Sep 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2017017504 Issued in MO
Practice address
7001 N Cherry LN
Gladstone, MO 64118-2635
Phone
(816) 548-3400
Fax
(816) 548-3401
NPI assigned
May 30, 2014
Last updated
Sep 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2901021069 MI
Pediatric Dentistry 1223P0221X 2017017504 MO Primary

Addresses

Primary practice location

7001 N Cherry LN
Gladstone, MO 64118-2635

Mailing address

7001 N. Cherry
Gladstone, MO 64118
Phone (816) 548-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160209002317 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8325342553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021069MIMDPediatric Dentist
2017017504MOMDPediatric Dentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1831501444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 N. CHERRY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "64118",
            "telephone_number": "816-548-3400",
            "fax_number": "816-548-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 N CHERRY LN",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641182635",
            "telephone_number": "816-548-3400",
            "fax_number": "816-548-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMANN",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-30",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901021069",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2017017504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

Verify at the official NPI Registry.